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[血色素沉着症中耶尔森菌感染的频繁发生]

[Frequent occurrence of Yersinia infection in hemosiderosis].

作者信息

Krüger N, Kraus C, Tillmann W, Schröter W

出版信息

Monatsschr Kinderheilkd. 1985 Dec;133(12):876-8.

PMID:4088285
Abstract

Antibodies against Yersinia were found in 12 of 50 patients with hemosiderosis, in 11 of 47 patients with thalassemia major and in one of three patients with Blackfan-Diamond anemia. All patients were treated with subcutaneous continuous deferoxamin-infusions. A systemic yersiniosis occurred in seven patients, all with homozygous beta-thalassemia, in five during and in two before treatment with deferoxamin. Hemosiderosis and infusions with deferoxamin seem to increase the risk of yersinia septicemia.

摘要

在50例含铁血黄素沉着症患者中,有12例检测出抗耶尔森菌抗体;在47例重型地中海贫血患者中,有11例检测出抗耶尔森菌抗体;在3例先天性纯红细胞再生障碍性贫血患者中,有1例检测出抗耶尔森菌抗体。所有患者均接受皮下持续去铁胺输注治疗。7例患者发生了全身性耶尔森菌病,均为纯合子β地中海贫血患者,其中5例在接受去铁胺治疗期间发病,2例在治疗前发病。含铁血黄素沉着症和去铁胺输注似乎会增加耶尔森菌败血症的风险。

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